Publications by authors named "Jacob Eliet"
Article Synopsis
- A study was conducted to evaluate the impact of temporary mechanical circulatory support on mortality in patients with cardiogenic shock within a regional cardiac care network.
- The research included 246 patients, comparing outcomes for those receiving early mechanical assistance versus those who did not, with a primary focus on in-hospital mortality.
- Results showed no significant improvement in adjusted in-hospital mortality with early mechanical assistance, and patients who received it experienced more complications and longer ICU stays.
Background: Veno-arterial extracorporeal life support (VA-ECLS) results in cardiopulmonary shunting with reduced native cardiac output (NCO). Low NCO occurrence is common and associated with risk of thromboembolic and pulmonary complications. Practical tools for monitoring NCO during VA-ECLS would therefore be valuable.
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- Gram-positive organisms commonly infect cardiovascular surgery patients, who are at risk for acute kidney injury (AKI) in the ICU, and some antibiotics might worsen kidney function.
- This study compared daptomycin (DAP) and vancomycin (VAN) in terms of AKI incidence and efficacy among ICU patients treated for Gram-positive infections post-surgery between 2010 and 2012.
- Results showed that DAP patients had a significantly lower incidence of AKI (21%) after 7 days compared to VAN patients (64%), with VAN being the only significant factor linked to AKI.
Temporary mechanical circulatory support (TCS) is recommended for patients with profound cardiogenic shock (CS). Extracorporeal membrane oxygenation (ECMO) and Impella are possible TCS devices, but the device choice and the implantation timing are not definitely established, specifically during acute myocardial infarction. We have analyzed the respective use of ECMO or Impella (2.
View Article and Find Full Text PDFPeripheral veno-arterial extracorporeal membrane oxygenation (VA ECMO) exposes the patient to a pulmonary blood flow bypass and a left ventricle afterload increase. Impella, a catheter-mounted microaxial rotary pump, has been proposed for left ventricle (LV) unloading in combination with VA ECMO. In order to assess the effect of Impella on pulmonary flow and LV preload, we checked Doppler pulmonary artery velocity-time integral (pVTI) and LV diastolic diameter (LVED) by transesophageal echocardiography and end-tidal carbon dioxide (EtCO2) during a step-by-step increase in Impella flow (Impella ramp test).
View Article and Find Full Text PDFIntroduction: Cardiogenic shock refractory to standard therapy with inotropes and/or intra-aortic balloon pump is accompanied with an unacceptable high mortality. Percutaneous left ventricular assist devices may provide a survival benefit for these very sick patients. In this study, we describe our experience with the Impella 5.
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